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Search Results: 1 - 10 of 485034 matches for " Raquel Cristina Radamés de Sá "
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Administra o de luvas brancas: uma leitura das interpreta es sobre as manifesta es culturais em um hospital
Luciana Resende ávila,Raquel Cristina Radamés de Sá,Valdir Machado Valad?o Júnior
Revista Eletr?nica de Ciência Administrativa - RECADM , 2009, DOI: 10.5329/361
Adiposity and postural balance control: correlations between bioelectrical impedance and stabilometric signals in elderly Brazilian women
Mainenti, Míriam Raquel Meira;Rodrigues, érika de Carvalho;Oliveira, Juliana Flávia de;Ferreira, Arthur de Sá;Dias, Cristina Márcia;Silva, André Luís dos Santos;
Clinics , 2011, DOI: 10.1590/S1807-59322011000900001
Abstract: objective: the purpose of this study was to investigate the correlation between body adiposity and postural control in elderly women. introduction: aging and obesity account for a significant portion of healthcare spending. life expectancy is increasing worldwide, and rio de janeiro has the largest proportion of elderly residents of all brazilian states. methods: a total of 45 women underwent bioelectrical impedance analysis, waist circumference measurements, weight and height measurements, and stabilometric tests in eight different stance conditions (opened and closed bases with both eyes opened and closed and right and left tandem and unilateral stances with eyes opened). during unilateral stances, the number of hand or foot contacts was counted. results: weight, body mass index, waist circumference, fat percentage, and fat mass showed statistically significant (p,0.05) and positive correlations with the number of contacts made during unilateral stances. the subjects with greater fat mass showed significantly higher anterior-posterior standard deviation and range when their eyes were closed. the sway area was also greater for this group in opened base when their eyes were closed. discussion: the results relating body adiposity and postural control can be explained by the difficulty of maintaining a greater quantity of body fat mass within the limits of the individual support base, especially while assuming a unilateral stance. conclusion: the subjects with a greater fat mass exhibited poor balance control, indicating that body adiposity level was associated with postural control in the elderly women examined in the present study.
Tuberculosis control: decentralization, local planning and management specificities
Trigueiro, Janaína Von S?hsten;Nogueira, Jordana de Almeida;Sá, Lenilde Duarte de;Palha, Pedro Fredemir;Villa, Tereza Cristina Scatena;Trigueiro, Débora Raquel Soares Guedes;
Revista Latino-Americana de Enfermagem , 2011, DOI: 10.1590/S0104-11692011000600003
Abstract: the goal was to analyze, according to the perception of health managers, the practices that guide tuberculosis control actions in cities in the metropolitan region of jo?o pessoa - pb, brazil. this qualitative study involved eight professionals in management functions. testimonies were collected through semi-structured interviews between may and june 2009 and organized through content analysis. despite the acknowledged benefits of tuberculosis control action decentralization, local planning indicates the predominance of a bureaucratic model that is restricted to negotiation and supplies. local programming is centered on the coordinator, which shows a command line and vertical management that lead to the fragmentation of the work process. management action should follow an innovative and transformative route that surpasses bureaucratic barriers and faces the biggest challenge it is proposed: to balance professional interrelations with a view to improving health work performance.
A política pública de saúde brasileira: representa??o e memória social de profissionais
Oliveira, Denize Cristina de;Sá, Celso Pereira de;Gomes, Antonio Marcos Tosoli;Ramos, Raquel de Souza;Pereira, Noraisa Alves;Santos, Weena Costa Rocha dos;
Cadernos de Saúde Pública , 2008, DOI: 10.1590/S0102-311X2008000100020
Abstract: the brazilian unified health system (sus) was created 15 years ago with the aim of promoting universal access to health care. this study analyzes the content of social representations by health professionals from rio de janeiro concerning the system's implementation. the study was based on social representation and social memory theory and was conducted in five health care institutions with 100 professionals. data were collected through in-depth interviews and analyzed through lexical analysis using the alceste 4.7 software. the results showed two thematic blocks, namely the formal and real sus. the formal representation discusses themes related to human resources policy, health system definitions and principles, and social participation. the real representation discusses the health professional-client relationship and health care structure, hierarchical and regional organization of care, and client profile. the results reflect the main characteristics of the sus and allow the identification of representations and memories that differentiate it from the previous system.
Aquatic systems in semi-arid Brazil: limnology and management
Barbosa, José Etham de Lucena;Medeiros, Elvio Sérgio Figueredo;Brasil, Jandeson;Cordeiro, Raquel da Silva;Crispim, Maria Cristina Basilio;Silva, Gustavo Henrique Gonzaga da;
Acta Limnologica Brasiliensia , 2012, DOI: 10.1590/S2179-975X2012005000030
Abstract: aquatic systems in semi-arid brazil include natural shallow lakes, artificial reservoirs and intermittent streams and rivers. these systems are distinctive features in the semi-arid landscape and comprise a range of associated systems functioning as an ever-changing mosaic of dry/wet patches. lakes and reservoirs in semi-arid brazil are subject to important periods of water shortages, whereas rivers and streams are characterized as highly variable and driven by the extremes of water flow and its absence. within this view a catchment-scale approach must be used to create a holistic model to conceptualize and comprehend these aquatic systems, since the aquatic environment types in the semi-arid region of brazil incorporate broader aspects within the catchment scale such as geomorphology, vegetation, climate and land use. this paper summarizes some of the information on the aquatic systems of the brazilian semi-arid region and shows the importance of limnological studies in this region. it also attempts to establish perspectives for future research considering the catchment as a scale for surveying biological processes and limnological characteristics of the various aquatic systems. it is presented information on their overall structure and functioning, as well as characteristics of some biological communities, such as phytoplankton, periphyton, aquatic macrophytes, benthic invertebrates and fish. the importance of the understanding of eutrophication in reservoirs and the role of the dry phase in streams is emphasized, and information on possible actions of planning and management to improve water quality of reservoirs are presented.
Low Prevalence of Pneumococcal Carriage and High Serotype and Genotype Diversity among Adults over 60 Years of Age Living in Portugal
Sónia T. Almeida, Sónia Nunes, Ana Cristina Santos Paulo, Idalina Valadares, Sara Martins, Fátima Breia, António Brito-Av?, Ana Morais, Hermínia de Lencastre, Raquel Sá-Le?o
PLOS ONE , 2014, DOI: 10.1371/journal.pone.0090974
Abstract: Pneumococcal disease is frequent at the extremes of age. While several studies have looked at colonization among young children, much less is known among the elderly. We aimed to evaluate pneumococcal carriage among elderly adults living in Portugal. Between April 2010 and December 2012, nasopharyngeal and oropharyngeal swabs of adults over 60 years of age, living in an urban area (n = 1,945) or in a rural area (n = 1,416), were obtained. Pneumococci were isolated by culture-based standard procedures, identified by optochin susceptibility, bile solubility and PCR screening for lytA and cpsA, and characterized by antibiotype, serotype, and MLST. Associations between pneumococcal carriage, socio-demographic and clinical characteristics were evaluated by univariate analysis and multiple logistic regression. The global prevalence of carriage was 2.3% (95% CI: 1.8–2.8). In the multiple logistic regression analysis, smoking, being at a retirement home, and living in a rural area increased the odds of being a pneumococcal carrier by 4.4-fold (95% CI: 1.9–9.2), 2.0-fold (95% CI: 1.1–3.6) and 2.0-fold (95% CI: 1.2–3.5), respectively. Among the 77 pneumococcal isolates, 26 serotypes and 40 STs were identified. The most prevalent serotypes were (in decreasing order) 19A, 6C, 22F, 23A, 35F, 11A, and 23B, which accounted, in total, for 60.0% of the isolates. Most isolates (93.5%) had STs previously described in the MLST database. Resistance to macrolides, non-susceptibility to penicillin and multidrug resistance were found in 19.5%, 11.7%, and 15.6% of the isolates, respectively. We conclude that the prevalence of pneumococcal carriage in the elderly, in Portugal, as determined by culture-based methods, is low. Serotype and genotype diversity is high. Living in a rural area, in a retirement home, and being a smoker increased the risk of pneumococcal carriage. This study contributes to the establishment of a baseline that may be used to monitor how novel pneumococcal vaccines impact on colonization among the elderly.
Chemical constituents isolated from the bark of Guatteria blepharophylla (Annonaceae) and their antiproliferative and antimicrobial activities
Costa, Emmanoel V.;Marques, Francisco de Assis;Pinheiro, Maria Lúcia B.;Braga, Raquel M.;Delarmelina, Camila;Duarte, Marta Cristina T.;Ruiz, Ana Lúcia T. G.;Carvalho, Jo?o Ernesto de;Maia, Beatriz H. L. N. S.;
Journal of the Brazilian Chemical Society , 2011, DOI: 10.1590/S0103-50532011000600016
Abstract: phytochemical study of the bark of guatteria blepharophylla (mart.) mart. afforded twelve compounds, namely two sesquiterpenes, caryophyllene oxide (1) and spathulenol (3), one xanthone, lichexanthone (2), a mixture of steroids, β-sitosterol (4), and stigmasterol (5), and seven isoquinoline alkaloids, o-methylmoschatoline (6), lysicamine (7), nornuciferine (8), liriodenine (9), isocoreximine (10), subsessiline (11), and isomoschatoline (12). their structures were established on the basis of spectroscopic methods. compounds 1-6, 11 and 12 were reported for the first time in this species. the 13c nmr (nuclear magnetic resonance) data for the compounds 11 and 12 are described for the first time in the literature. the antiproliferative activity against human tumour cell lines and antimicrobial activities were investigated for the major compounds. compound 9 showed significant activity against cell lines of breast (mcf-7, michigan cancer foundation-7), superior to the positive control doxorubicin. compound 12 presented antifungal activity similar to the positive control nystatin against candida albicans.
Les?o medular no Centro de Reabilita??o e Readapta??o Dr. Henrique Santillo (CRER- GO)
Custódio, Natália Ribeiro de Oliveira;Carneiro, Maurício Rassi;Feres, Caroline Campelo;Lima, Gabriela Henrique Souza;Jubé, Maria Raquel Ramos;Watanabe, Leonardo Eizo;Saliba, Lívia Gabriela Rocha Santos de Oliveira;Daher, Sérgio;Garcia, Ana Cristina Ferreira;
Coluna/Columna , 2009, DOI: 10.1590/S1808-18512009000300005
Abstract: objective: retrospective epidemiological analysis of spinal cord injury patients admitted to centro de reabilita??o e readapta??o dr. henrique santillo (crer) in goiania, goiás. methods: retrospective epidemiological study based on the analysis of medical records data of patients who were hospitalized in the period from march 2007 to march 2009. results: 208 patients were analyzed, predominantly male (78.85%) with a mean age of 35.3 years. the most neurological deficit was paraplegic (64.90%), and 54.33% of the patients were classified as asia a (complete lesion), according to the american spinal injury association (asia). the average time from injury to admission was 129.7 days, and the mean time of hospitalization was 44.9 days. the main cause was traumatic spinal cord injury and of these, 44.70% were from traffic accidents. the main complication was urinary tract infection. conclusion: the epidemiological data of spinal cord injury patients admitted to rehabilitation in crer was in accordance with data already reported in literature, demonstrating the importance of dissemination and implementation campaigns for the prevention of spinal cord trauma. as well as the need for early referral of patients to a rehabilitation center, since most of them are young with severe neurological deficit and highly disabling.
Enfoque familiar e orienta??o para a comunidade no controle da tuberculose
Nogueira, Jordana de Almeida;Trigueiro, Débora Raquel Soares Guedes;Sá, Lenilde Duarte de;Silva, Cybelle Alves da;Oliveira, Luana Carla Santana;Villa, Tereza Cristina Scatena;Scatena, Lucia Marina;
Revista Brasileira de Epidemiologia , 2011, DOI: 10.1590/S1415-790X2011000200003
Abstract: this study aimed to describe tuberculosis control actions in the context of family health teams, regarding the dimensions family focus and community orientation. a cross-sectional evaluative research was carried out in 2008, with 84 healthcare workers. the primary care assessment tool was used, validated and adapted to assess tuberculosis care in brazil. respondents answered each question according to a pre-determined scale, (likert's scale) ranging from zero to five. data were tabulated using the statistical package for the social sciences software and were analyzed according to frequency and median. in the first dimension, outcomes revealed that 67.9% of health workers evaluate contact cases with diagnostic tests; 63.1% use radiology tests; 64.3% include the household to face the disease; 77.4% identify risk factors; 41.7% interface with other sectors to find solutions for the identified problems. in the second dimension, 73.8% of them perform case search; 40.5% provide inputs for sputum collection; 50% take educational actions in the community; 14.3% recognize social participation in tuberculosis control. therefore, the efficiency of such services requires taking actions that give special attention to family and community, and the development of skills to create new spaces for professionals to act and to strengthen the interface with other sectors of society.
The Spanish HIV BioBank: a model of cooperative HIV research
Isabel García-Merino, Natividad de las Cuevas, José Jiménez, Jorge Gallego, Coral Gómez, Cristina Prieto, Ma Jesús Serramía, Raquel Lorente, Ma ángeles Mu?oz-Fernández, Spanish HIV BioBank
Retrovirology , 2009, DOI: 10.1186/1742-4690-6-27
Abstract: The Spanish HIV BioBank was created with the objectives of processing, storing and providing distinct samples from HIV/AIDS patients, categorized according to strictly defined characteristics, free of charge to research projects. Strict compliance to ethical norms is always guaranteed.At the moment, the HIV BioBank possesses nearly 50,000 vials containing different prospective longitudinal study sample types. More than 1,700 of these samples are now used in 19 national and international research projects.The HIV BioBank represents a novel approach to HIV research that might be of general interest not only for basic and clinical research teams working on HIV, but also for those groups trying to establish large networks focused on research on specific clinical problems. It also represents a model to stimulate cooperative research among large numbers of research groups working as a network on specific clinical problems. The main objective of this article is to show the structure and function of the HIV BioBank that allow it to very efficiently release samples to different research project not only in Spain but also in other countries.Advances in research and technology allow for the design of new experimental approaches to use the same biological specimens that have previously given positive results. It is important not to undervalue biological material that has already undergone studies in the development of new scientific approaches. In Europe and North America, laboratories that store distinct sample types and in some way "function as tissue and biological fluid banks" have been essential parts of AIDS research.Biobanks are identified as a biomedical scientific/infrastructural development that represents a political/legal/ethical reaction with the goal to integrate Biobanks into the pre-existing form of regulation, medicine law and society[1]. Some basically consider any inventory or file of biological material as a Biobank, whereas in other countries Biobanks are s
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